Wellstead Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSTEAD HEALTH

Practice address

75 Market St Ste 103
Portland, ME 04101-5040

Phone

(978) 831-2438

NPI assigned

Feb 23, 2022

Organization subpart

Yes

Parent organization

WELLSTEAD LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonny Rollender

Title

Co-Founder

Phone

(978) 831-2438

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1255087722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARKET ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015040",
            "telephone_number": "978-831-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MARKET ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015040",
            "telephone_number": "978-831-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTEAD HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTEAD LLC",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ROLLENDER",
        "authorized_official_first_name": "BONNY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "978-831-2438"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellnite Medical Group PA
• Jacqueline Wells, RN
• Kimberly Marie Wells, DPT
• Laura Ann Wells, OTR/L
• Wellspring Home Care LLC
• Julia Integlia Welter, OTR/L
• Gregory G. Weltin, M.D.
• Megan Wenckus, LCSW
• Suzanne Wendelken, MD, PHD
• Barbara A Wendell, P.T.

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.